Provider Demographics
NPI:1457935256
Name:DOWNTOWN VISION, INC
Entity Type:Organization
Organization Name:DOWNTOWN VISION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:OGDEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:614-607-4116
Mailing Address - Street 1:410 FLEISCHMANN WAY
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-2940
Mailing Address - Country:US
Mailing Address - Phone:775-882-3977
Mailing Address - Fax:775-882-3285
Practice Address - Street 1:410 FLEISCHMANN WAY
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-2940
Practice Address - Country:US
Practice Address - Phone:775-882-3977
Practice Address - Fax:775-882-3285
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DOWNTOWN VISION, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-07
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty